Provider Demographics
NPI:1346390432
Name:UNIVERSITY SYSTEM OF NEW HAMPSHIRE
Entity type:Organization
Organization Name:UNIVERSITY SYSTEM OF NEW HAMPSHIRE
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:BUSINESS DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:GREGORY
Authorized Official - Middle Name:J
Authorized Official - Last Name:TURCOTTE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:603-862-2855
Mailing Address - Street 1:4 PETTEE BROOK LN
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NH
Mailing Address - Zip Code:03824-2344
Mailing Address - Country:US
Mailing Address - Phone:603-862-9355
Mailing Address - Fax:603-862-4259
Practice Address - Street 1:4 PETTEE BROOK LN
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NH
Practice Address - Zip Code:03824-2344
Practice Address - Country:US
Practice Address - Phone:603-862-9355
Practice Address - Fax:603-862-4259
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:UNIVERSITY SYSTEM OF NEW HAMPSHIRE
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-01-11
Last Update Date:2024-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH1478261QH0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service